Individual
MRS. THERESA MURDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
295 E MAIN STREET, MT. KISCO, NY 10549
(914) 242-4690
Mailing address
295 E MAIN ST, MOUNT KISCO, NY 10549-3031
(914) 242-4690
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
R-034909-1
NY
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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